Validation of Assamese Version of Rashtriya Bal Swasthya Karyakram (RBSK) Tool for Early Detection of Developmental Delay and Autism Spectrum Disorder.

IF 1.5 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2025-09-01 Epub Date: 2025-08-05 DOI:10.1007/s13312-025-00156-9

Murchana Khound, Jaya Shankar Kaushik, Abhishek Nath, Bipul Kumar Das, Dhrubajyoti Das, Gourav Goswami, Diksha Sharma

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引用次数: 0

Abstract

Objective: To develop and validate the Assamese version of the Rashtriya Bal Swasthya Karyakram (RBSK) screening tool for developmental delay (1-72 months) and autism (15-24 months) and to assess its diagnostic accuracy in comparison with the Developmental Profile-3 (DP-3) and the All India Institute of Medical Sciences (AIIMS)-Modified INCLEN Diagnostic Tool for autism spectrum disorder (INDT-ASD).

Methods: A cross-sectional study was conducted from January to December 2024 at a tertiary care hospital in India. The RBSK screening tool for developmental delay and autism was translated into Assamese through a standardized process involving forward translation, back-translation, expert review, and pilot testing (n = 10). Children aged 1-72 months were recruited from the outpatient department. Developmental delay was assessed using the Developmental Profile-3 (DP-3) and ASD in children aged 15-24 months using the AIIMS-Modified INCLEN Diagnostic Tool for Autism Spectrum Disorder (INDT-ASD) tool. Diagnostic accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive values, Cohen's kappa statistic, and area under receiver operating characteristic (AUROC) curves.

Results: A total of 139 children with mean (SD) age 30.5 (12.2 months) were enrolled. The Assamese version of the RBSK screening tool demonstrated a sensitivity and specificity of 94.1% and 84.9%, respectively, for developmental delay, and 89.5% and 93.8%, respectively, for ASD. Agreement with reference tools was high (Cohen's kappa = 0.85 for DP-3, 0.83 for AIIMS-Modified INDT-ASD). The tool showed excellent discriminative performance with AUROC (95%CI) of 0.94 (0.89, 0.98) for developmental delay and 0.92 (0.85, 0.98) for ASD.

Conclusion: The validated Assamese version of the RBSK screening tool for developmental delay and autism is an accurate screening tool in Assamese-speaking population.

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阿萨姆邦版Rashtriya Bal Swasthya Karyakram （RBSK）工具早期检测发育迟缓和自闭症谱系障碍的验证。

目的：开发和验证阿萨姆邦版的Rashtriya Bal Swasthya Karyakram （RBSK）发育迟缓（1-72个月）和自闭症（15-24个月）筛查工具，并与发育概况-3 （DP-3）和全印度医学科学研究所(AIIMS)-改进的自闭症谱系障碍（INDT-ASD）诊断工具进行比较，评估其诊断准确性。方法：2024年1月至12月在印度一家三级医院进行横断面研究。RBSK发育迟缓和自闭症筛查工具通过前向翻译、后向翻译、专家评审和试点测试的标准化过程翻译成阿萨姆语（n = 10）。年龄1-72个月的儿童从门诊部招募。采用AIIMS-Modified INCLEN Diagnostic Tool for Autism Spectrum Disorder （INDT-ASD）工具，采用Developmental Profile-3 （DP-3）和ASD评估15-24月龄儿童的发育迟缓。通过计算敏感性、特异性、阳性预测值和阴性预测值、科恩kappa统计量和受试者工作特征曲线下面积（AUROC）来评估诊断准确性。结果：共有139名儿童入组，平均（SD）年龄为30.5（12.2个月）。阿萨姆邦版本的RBSK筛查工具对发育迟缓的敏感性和特异性分别为94.1%和84.9%，对ASD的敏感性和特异性分别为89.5%和93.8%。与参考工具的一致性很高（DP-3的Cohen kappa = 0.85， AIIMS-Modified INDT-ASD的0.83）。该工具的AUROC （95%CI）为发育迟缓的0.94（0.89,0.98）和ASD的0.92（0.85,0.98）。结论：经验证的阿萨姆语版RBSK发育迟缓和自闭症筛查工具在阿萨姆语人群中是一种准确的筛查工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.